BSMMU PHASE A QUESTION JANUARY 2023
Paper one
Group-A
1.A 40-year-old man presented with gynecomastia. Write the list of clinical information leading to its etiology?
2.A 25-year-old man is hospitalized with fever, headache and retro-orbital pain for 5 days. General examination revealed- pulse 120/minute, BP 75/50 mmHg and generalized eryrhematous rash. Mention the steps of management for him.
3.Write the difference between type-I and type-II lepra reactions. How would you treat lepra reaction?
4.A 25-year-old man presented with recurrent hypokalemia. How would you investigate to
reach a diagnosis?
5.Mention the importance of jugular venous pressure in clinical medicine.
6.A 35-year-old man with a history of chronic alcoholism presented with delirium. How
would you evaluate him?
7.A 45-year-old man presented with recurrent hemoptysis for 3 years. How would you
approach to reach a diagnosis?
8.A 55-year-old man presented with weakness of both lower limbs for last 2 weeks. Write a
list of clinical information to reach a diagnosis.
9.A 40-year-old man presented with palpitation and recurrent episodes of syncope. Write the
lan of investigations with expected findings to reach the diagnosis.
10.Write the presentation and management of heat stroke.
Group-B
1.Discuss in brief about epigenetics.
2.A 70-year-old man presented with forgetfulness for last 8 months. Write a clinical
checklist to evaluate him and enumerate the plan of investigations for him.
3.A 30-year-old woman presented with gum bleeding and purpuric spots over her shins.
Mention the list of clinical information hinting the diagnosis.
4.Write in brief about antibiotic stewardship.
5.A 55-year-old man presented with right sided hemorrhagic pleural effusion. How would
you assess clinically and investigate him?
6.A 45-year-old asymptomatic obese man presented with blood report showing raised ALT.
How would you evaluate him?
7.A 25-year-old woman presented with fever, palpitation and painful neck swelling. How
would you investigate and manage her?
8.A 60-year-old admitted patient suddenly became nonresponsive. His pulse and blood
pressure were non-recordable. Write the algorithm of adult advanced life support.
9.Write in brief about refeeding syndrome.
10.A 29-year-old woman presented with multiple painful swollen joints and recurrent genital
and oral ulcers for 7 months. How would you evaluate and investigate her?
Paper two
Group-A
1.A 30-year-old woman presented with abdominal pain and distension for 3 days with a history of recurrent fetal loss. Mention the list of clinical information hinting the diagnosis.
2.A 19-year-old girl with short stature came to the OPD. How would you evaluate her?
3.A 25-year-old man presented with generalized lymphadenopathy with generalized itching and
weight loss. Plan investigations for him with reasoning the selection.
4.A 60-year-old man presented with unintentional weight loss. Make a clinical checklist to
establish the cause of this presentation.
5.A 64-year-old man presented with unilateral severe headache and jaw claudication for last 3
months. Write a plan of investigations and management for him.
6.A 40-year-old man presented with weight gain, tiredness and bilateral leg swelling. How
would you evaluate him clinically?
7.A 25-year-old woman presented with pallor for last 3 months. On examination she had
anemia, jaundice and splenomegaly. Plan investigations hinting the underlying diagnosis.
8.A 35-year-old diabetic woman who is on insulin, presented with altered mental state
hours. Write the clinical checklist to find out the cause of this presentation.
9.Discuss in brief about pemphigus vulguris.
10.Write the role of procalcitonin in clinical practice.
Group-B
1.A 50-year-old obese man presented with day time somnolence. How would you investigate
him?
2.A 45-year-old man presented with recurrent bloody diarrhea with redness of eye for 4 months.Write a plan of investigations for him with reasoning of their selection.
3.Enumerate the causes of sterile pyuria. Write a list of clinical information to reach the cause of
sterile pyuria.
4.A 38-year-old woman presented with double vision and generalized weakness for last 4
months. Mention the list of investigations with expected findings to establish the cause.
5.Discuss about the 20-minute-whole blood coagulation (WBCT) test and its role in snake bite
poisoning.
6.A 65-year-old woman presented with low back pain for 6 months. Write the possible causes and
mention the red flag signs of low back pain.
7.A 20-year-old college student presented with recurrent jaundice who is otherwise asymptomatic. How would you investigate him?
8.A 60-year-old man, a case of multiple myeloma presented with acute confusional state and his
erum calcium was found 13.5 gm/dl. Write the management plan for him.
9.Discuss briefly about confidentiality. In which conditions you can breach the confidentiality of a Patient?
10.What are the types of anxiety disorder? How would you differentiate between panic and phobic disorder?